Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $986.96 / $1,861.60	Facility		$390.00	$986.96	$1,861.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $426.40 / $442.00	Professional		$390.00	$426.40	$442.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $2,555.80	Facility		$520.00	$520.00	$2,555.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $332.40	Professional		$208.00	$208.00	$332.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.00 / $468.00 / $912.60	Professional		$416.00	$468.00	$912.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $1,146.19 / $2,663.79	Facility		$338.00	$1,146.19	$2,663.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.38 / $315.74 / $926.07	Professional		$256.38	$315.74	$926.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $624.00 / $769.60	Professional		$520.00	$624.00	$769.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $432.90 / $598.00 / $894.40	Facility		$432.90	$598.00	$894.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $728.00 / $1,248.00	Professional		$520.00	$728.00	$1,248.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $426.40 / $625.04 / $9,929.00	Facility		$426.40	$625.04	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $426.40 / $625.04 / $9,929.00	Professional		$426.40	$625.04	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $270.39 / $598.00	Professional		$218.40	$270.39	$598.00